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UKRAINE Situation report No.19 as of 14 November 2014 This report is produced by the in collaboration with humanitarian partners. It covers the period from 1 14 November 2014, unless otherwise noted. The next report will be published on 28 November. IDP influx in 2014 Circle diameter represents size of IDP influx women Affected areas area currently not under government control area previously not under government control men children elderly and disabled not disaggregated Volyn Rivne Zhytomyr Kyiv Chernihiv Sumy L'viv Poltava Kharkiv Cherkasy Luhans'k Ternopil' Ivano-Frankivs'k Zakarpatska Khmel'nyts'kyy Vinnytsya Kirovohrad Donets'k Chernivtsi Mykolayiv Dnipropetrovs'k Zaporizhzhia Colour tone represents ratio of IDPs to local population 0 to 2 per thousand 3 to 4 per thousand 5 to 6 per thousand 7 to 8 per thousand 9 to 10 per thousand 11 to 20 per thousand 21 to 50 per thousand Odesa Kherson Highlights The President did not sign the new IDP law into force within the required 15-day time period. As a result, the law is essentially adopted by default, but will only enter into force after Presidential signature. Fighting in the conflict zone of eastern Ukraine is reportedly at its worst since reaching a ceasefire agreement early September. A UN expert mission visited Donetsk on 10-12 November. The mission aimed to identify reliable implementing partners for future aid distribution. The mission established that the humanitarian needs are significant and on the rise, and that there is a serious lack of capacity on the ground to implement humanitarian programs. The Humanitarian Country Team (HCT) is fully engaged with preparations for the 2015 Strategic Response Plan. All sectors are consolidating key strategic priorities, targets and activities for the coming year. 5.2m Estimated number of people living in conflict-affected areas as of 14 November 460,365 Internally displaced people as of 14 November (source: SES) 508,515 Fled to neighboring countries as of 14 November

Situation Report No. 19 Ukraine 2 Situation Overview Humanitarian assistance activities are underway and increasing as humanitarian actors hurry to provide essential winterized shelter and NFI; cash assistance; food; and WASH support to conflict-affected people in eastern Ukraine. International NGOs are arriving and obtaining the required permits to establish presence and launch activities. Health remains a primary concern, as essential medicines and supplies require replenishment and many hospitals and clinics are closed or partially functioning and severely understaffed in conflict-affected areas. While a sector in and of itself, Protection remains a cross-cutting issue that must be incorporated throughout the humanitarian response and addressed within all sectors. The deployment of a GenCap Advisor for the first two weeks of November has been critical for highlighting gender-specific concerns within all sectoral planning and response activities. The humanitarian community welcomes the arrival of the new Education sector lead this week, further strengthening coordination and response. A low-profile expert mission of UN sector-lead agencies (UNHCR, UNICEF, WFP, WHO) and facilitated by OCHA to assess the capacity of local implementing partners in Donetsk city took place from 9 to 12 November. This was the second mission to Donetsk after the UN obtained security guarantees from the de facto authorities to operate freely and carry out humanitarian operations in rebel-held areas. The aim of the mission was to map the capacity of local implementing partners for delivery and distribution of humanitarian assistance in rebel-held areas and undertake preparations for an initial small-scale humanitarian convoy of relief items to be undertaken shortly after the mission. The OSCE reports that a total of five Russian convoys have entered and exited Ukraine. A sixth convoy is in preparation. The recent convoys were only inspected by the Russian border guard and customs services, not by the Ukrainian authorities. At least 4,132 killed (including 298 from flight MH-17) and 9,747 wounded in eastern Ukraine as of 11 November (source: OHCHR/WHO) 1. Funding The Preliminary Response Plan (PRP) was launched on 14 August, against which UN agencies requested an initial $33.3 million for immediate life-saving needs. Since the launch of the PRP, the situation has significantly deteriorated and needs have risen further. As of 14 November, donors have contributed $18.4 million (UN only). As of 14 November, the total amount provided by donors to international aid organizations for relief activities in Ukraine amounts to $40.1 million. Ukraine Crisis 2014 $33.3 million requested Funding by donor ($) Unmet 45% Funded 55% France Czech Republic Luxembourg Lithuania Hungary Sweden Latvia Norway Private Republic of Korea Estonia Japan Netherlands Australia Austria Poland Finland Switzerland United Kingdom Canada CERF ECHO Germany United States All humanitarian partners, including donors and recipient agencies, are encouraged to inform OCHA's Financial Tracking Service (FTS - http://fts.unocha.org) of cash and in-kind contributions by e-mailing: fts@un.org 1 This is a very conservative estimate by the UN Human Rights Monitoring Mission in Ukraine and the World Health Organization based on available official data. These totals include: Ukrainian armed forces casualties as reported by the Ukrainian authorities; 298 people from flight MH-17; casualties reported by civil medical establishments and local administrations of Donetsk and Luhansk regions: and civilians and some members of armed groups (without distinguishing them). OHCHR and WHO believe that actual fatality numbers are considerably higher.

Situation Report No. 19 Ukraine 3 Humanitarian Response Early Recovery and Livelihoods (sector lead: Inita Paulovica, Inita.Paulovica@undp.org) The first phase of the joint UN/EU/WB Recovery and Peacebuilding Assessment commenced its work in Kyiv on Monday, 10 November. The RPA will be performed until mid-december and establish the baseline and plan for government and international community actions in areas of the infrastructure rehabilitation, reconciliation and economic recovery. On-going monitoring of the humanitarian situation is conducted by the Kyiv International Institute of Sociology and the on-line map is available at http://dopomozhemo.tv/map (last survey as of mid-october). As of 12 November, 39 settlements with 38 thousand residents has no electricity services informed DTEK company. Stable access to basic services (electricity and water supply) is not available in several cities and villages in Donbas (including Luhansk city). According to the Department of Education of Donetsk oblast out of 237 damaged educational institutions (including kindergartens) 50 were restored, but 187 still require repairs. 17% of schools do not operate in affected areas (147 out of 1123 secondary schools). In Luhansk city 7 schools were not opened, many started operations in October (with 1 month delay). The reconstruction of the Sails of Hope orphanage in Slovyansk was completed. Ongoing reconstruction of damages of the public infrastructure and housing is on-going and performed by the local government, volunteers, as well as international organizations. Cabinet of Ministers on 12 November allocated additional UAH 300 million (around USD 20 million) for reconstruction needs of Donetsk and Luhansk oblasts. 23 representatives of centers for family, children and youth that working with IDPs from different region of Ukraine was trained on provision of primary psychological support to IDPs and prevention of emotional and professional burn-out. The new booklet Road Map for IDPs #4 that includes guidelines on registration of IDPs and new monthly benefit, according to recent resolutions of the Cabinet of Ministers was developed, printed (47000 copies) and will be disseminated through regional coordination offices. The draft state standard on social support to persons in difficult life situation (including IDPs) was developed and submitted to the Ministry of Social Policy of Ukraine. Escalation of military activities aggravated security situation in the region, and led to increased uncertainty and fears among population (including fear of persecution for cooperation with Ukrainian authorities). At least 20 so called city-forming enterprises were closed in affected areas, which leads to a livelihoods problems and will impede the sustainable recovery of the region and return of IDPs. Education (sector lead: Oyvind Wistrom, owistrom@unicef.org) On 5 November 2014 at least two children were killed and four injured as a result of shelling of a school sports field in Donetsk city. UNICEF issued a public statement expressing sympathies to the families of the children who have lost their lives or were injured and reminded all parties to the conflict that they have a responsibility to keep children out of harm s way. The Ministry of Education and Science (MoES) has reported no increase in the number of IDP children attending school and preschool education facilities in Ukraine. The Ministry confirmed that any documents on the completion of education which have been issued by the representatives of the armed groups will not be recognized by the Ukrainian authorities. However, in order to secure children s right to an education, the Ukrainian authorities are working on a scheme in order to ensure that the children in the territories controlled by the armed groups are able to get their education. IDP children need education supplies to ensure their uninterrupted access to education.

Situation Report No. 19 Ukraine 4 The education component of the Strategic Response Plan (SRP) was drafted and agreed by the Education sector members. 90 educational kits covering 900 children were distributed by UNICEF in Odesa, Zaporizhzhia, Kherson, Dnipropetrovsk and Luhansk by State Emergency Service and local NGOs. UNICEF develops collaboration framework with Danish Refugee Council (Danish Demining Group) on Mine Risk Education, including assessment of the risks and knowledge among children and families in Donbas region, education and community behaviour change activities. There is insufficient data on the placement of all children who require access to preschool and school facilities, particularly in post-conflict areas. The capacity of the national counterparts is stretched to attend numerous coordination meetings and field missions as well as support emergency response implementation. Emergency Shelter and NFI (sector lead: Igor Chantefor, chantefo@unhcr.org) Regional Shelter/NFI Coordination Meetings were held in Dnipropetrovsk, Kyiv and Slaviansk. The Shelter/NFI Sector is developing and implementing coordination tools: 4W map produced and Google Group (link) functioning. IDPs renting accommodation on their own seem to be excluded from any assistance provided by the humanitarian community thus becoming deprived and in worse situation if compared to those staying in Collective Centers. In the meantime, UNHCR continues receiving reports about outstanding utility bills that become a serious problem aggravating IDP housing situation. Specialized Collective Centers (orphanages, centers for disabled, geriatric institutions) need more attentive treatment and often winterization. Progressively growing needs are reported in the conflict area, especially as for house repair (openings/roofing) and heating solutions. SES of Ukraine and UNHCR have sighed MoU (link), thus establishing a framework for future cooperation, especially in provision of assistance and coordination of activities. Cash assistance: ADRA, Caritas Ukraine, DRC, IRD, PiN, SCI already started one time winterization cash grant in Dnipropetrovsk, Donetsk, Kiev, Kharkiv, Zaparozhizhia. Identification were reported on going in Luhansk (6,190 HH, IRD) and in Donetsk (4,000 HH, PiN), Caritas already finished disbursement in Lviv and extend their intervention. In parallel, UNHCR already supported through regional social service more than 1,600 IDP s in Lviv and plan to enlarge this initiative to Zakatpattya (pilot), Kyiv city and Kyiv region, Vinnytsya and Dnipropetrovsk. Collective centers: 8 CCs winterized/repaired in Donetsk region by People in Need (PiN), further UNHCR already started intervention on 36 CC s, and construction materials for CC in Dniprodzerzhynsk were delivered to assist 88 IPDs. House repair: in the post conflict area, 55 houses were repaired and more. In-kind NFI: Shelter Sector partners (IOM, Pin, Crimsons, WJR, Save Ukraine, ADRA, IHRC) have assisted more than 5,000 IDPs In addition UNHCR has distributed more than 1,000 blankets, 2,371 bedding items, 1400 clothing items, 93 plastic sheets during the reporting period in areas with most needs: Mariupol, Kramatorsk, Sativa, Krajina and others. Further Shelter Sector partners launched tender for 15,000 bedding kits, 20,000 warm clothes kits (UNDP), are finalizing purchase of 1,300 heaters for Kharkiv, Zaporizhzhia and Dnipropetrovsk (IOM). SES reports there is no free accommodation available in Kharkiv and Dnipropetrovsk as well as in many other regions. As rent prices are increasing, around 20% of the IDP population from the displacement areas are returning back to the conflict area for many reasons. At the same time, while Resolution # 505 becomes operational late November 2014, landlords are not willing to cover utility bills and accommodation for IDPs as they did before, thus this leads to a gap for several months in payments delay which is not covered.

Situation Report No. 19 Ukraine 5 Food and Nutrition Security (sector leads: Leelaraj Upadhyay, leela.upadhyay@wfp.org; Valeriya Taran, vtaran@unicef.org Nothing to report. Preliminary results of the ongoing WFP Food Security Assessment (cross-referenced with the UN Humanitarian Situation Monitoring), indicate that at least 30% of the population living in the five oblasts of Dnipropetrovsk, Donetsk, Kharkiv, Luhansk, and Zaporizhzhia have limited access to markets due to increased food prices, disrupted transport systems, high insecurity and remoteness. In cooperation with NGO partner PIN, WFP has completed the first round of voucher distributions to 10,000 IDPs in northern Donetsk (Artemovsk, Druzhkivka, Kramatorsk, Krasnyi Lyman, Sloviansk, and Sviatohirsk). To date, the Rinat Akhmetov Foundation has provided food to over half a million individuals throughout Donetsk. The overall security situation in Donbas remains highly volatile and restricted humanitarian access continues to be an impediment to the monitoring of food security needs. The collapse of state services in areas not controlled by the Government, coupled with a high probability of additional displacements, will continue to remain a concern. Health (sector lead: Dr. Dorit Nitzan, DON@euro.who.int; Patricia Kormoss, kpj@euro.who.int) Ministry of Health audit allocated medicines for state target programs (hemophilia treatment, pediatric treatment for children, vaccines (tetanus toxoid), hemodialysis, etc.) revealed available stock to cover from 0.5-10% to 60-70% of the annual demand. The Global Fund to Fight AIDS, Tuberculosis and Malaria is proceeding with the country coordination mechanism endorsed request to procure ART and MDR TB medicines to fill the gap of supplies for the first quarter of 2015. Gender based violence group has been established to be chaired by UNFPA. The allocated state funds for the provision of state care programs for 2015 are not enough and will cover only 30-40% of the need (source: Ministry of Health). The human resources outflow resulted is estimated 20-30% lack of doctors, 20-50% lack of nurses and 50-70% lack of paramedics in conflict-affected areas. A new law dictates the discontinuation of central government funding to areas not under government control. This will lead to further deterioration of the healthcare provision in these areas. The treatment and management of diseases under the state target programs (tuberculosis, vaccination, chronic diseases, diabetes, kidney failure, orphan diseases and other) are only partially covered due to lack of drugs and supplies. In non-government controlled areas, regular monitoring is fragmentary or fully discontinued. Health Sector partners continue to provide support with services and medical supplies (essential drugs kits, dignity kits) in conflict and IDPs hosting areas. 2,100 kits were provided by UNFPA for the most vulnerable IDPs in Odessa region. The hemodialysis center in Luhansk resumed service provision but is lacking consumables. WHO Mobile Emergency Public Health Units (MEPU) and Emergency Primary Care Posts (EPPs) are currently being finalized in partnership with the Ukrainian Red Cross, Ministry of Health, local authorities and health services. Since July hospitals in conflict areas under insurgents control do not receive the full budget that was allocated to them that affects the procurement of medicines and paying salaries to the health specialists. New law of the Government of Ukraine dictates the discontinuation of the funding from central government

Situation Report No. 19 Ukraine 6 to areas that are not under government control. It will lead to further deterioration of the health care provision in the area. Treatment and management of diseases under the state target programmes (tuberculosis, vaccination, chronic diseases, diabetes, kidney failure, orphan diseases and other) are only partially provided due to lack of drugs and supplies. Most concerns are for the conflict area where regular follow-up for the mentioned categories is fragmentary or fully discontinued. The Global Fund to Fight AIDS, Tuberculosis and Malaria emphasize the need to move from annual drugs based calculation of the need to treatment schemes and patient based calculation. Outbreak surveillance remains a great concern although no increase in infectious diseases cases is registered: number of season influenza cases is within epidemic threshold (source: The State outbreak Surveillance system, Ministry of Health). Protection (sector leads: Ilija Todorovic, todorovi@unhcr.org; Fiona Frazer, ffrazer@ohchr.org) The UN Human Rights Monitoring Mission in Ukraine (HRMMU) continued to monitor casualties, detentions, enforced disappearances, torture, ill-treatment, reprisals and access to basic social services in the conflict area. Announced by the border guard service, Ukraine has reportedly imposed passport controls around the self-proclaimed DNR and LNR areas in the east of the country. It was noted that Ukrainian citizens will be allowed to travel in and out of the area on condition of showing passports while foreigners will "be sent to filtration points to determine the purpose of their visit and check their documents. Monitoring in the field will be carried out to see if this is indeed the case and what consequences there could be for the movement of civilian populations. CPWG members are advising on issues of girls and boys in the development of the National strategy on Human Rights Protection- decree #811/2014 as of 15 October 2014. Indiscriminate artillery and rocket shelling of built-up areas in the conflict zone was reported on almost daily basis. Neither the Government nor any of the armed groups took responsibility for resulting deaths of dozens of civilians (including at least two children and 14 women). Cases of abductions by the armed groups, and enforced disappearances or arbitrary detentions on the territory controlled by the Ukrainian Government continued to be reported. 92% of hotline consultations show demand by children for factual information on issues ranging from family and peer relationships, children s rights and violence against children. The national registration of IDPs by the Ministry of Social Policy continues with more than 153,000 registered so far. Monitoring of the process by UNHCR and its partners has shown both problems in identifying the ATO zone from which displaced status is based on per Council resolution 509 and with the interpretation of who should and should not be included for financial assistance per Council resolution 505. Some regions are excluding IDPs from assistance that live in collective accommodation fully financed by either the regional or state budgets. More monitoring will be needed and intervention with the Ministry to ensure harmonized interpretations across the country. The Cabinet of Ministers has rescinded its earlier resolution 1053 defining locations that are within the ATO zone. The resolution brought about confusion in the definition of the ATO zone creating discrepancies between regions in work of the social protection authorities especially on the issues of IDP registration. With its rescission, the zone area is again unclear. The HRMMU followed a number of abductions by the armed groups and arbitrary detentions by the Ukrainian law enforcement agencies. The regional Protection WG for Kharkov has been re-established to include both Protection and Human rights issues affecting Kharkov with outreach into northern Luhansk and Donetsk. As of this date, there are functioning regional Protection WGs in Dnepropetrovsk, Zaporzhizhia and Kharkov with outreach into northern Donetsk and Lugansk. Trips to establish Protection Sector coordination mechanisms in Mariupol, Odessa and Lvov are being planned. 142 IDPs called the National Migrant Advice and Counter-Trafficking Hotline (funded by IOM) and received counselling and referral. Twenty persons reported that they encountered or were victims of fraudulent schemes. These IDPs were offered refugee status abroad or employment in Ukraine or abroad that did not materialize. Preparations are being made to re-print safe travel booklets and posters in response to growing concern of trafficking, irregular migration and exploitation amongst the IDP population. 20,000 booklets and 500 posters have already been distributed throughout Ukraine. A collaboration of CP stakeholders and relevant organizations has formed a dedicated CP monitoring and response working group to standardize a cohesive and consistent CP monitoring network.

Situation Report No. 19 Ukraine 7 On 5 November, the Prime-Minister announced suspending of all social benefits payments, including pensions, to residents of areas controlled by the armed groups. The Minister of Social Policy has since confirmed that pensions in 16 districts and towns of the Donetsk region and 14 districts and towns of Luhansk region, which are controlled by the armed groups, have not been financed in November. This decision put pensioners and other people heavily depending on social benefits payments in an especially vulnerable situation. Reportedly, from now on those categories would receive social payments only after they register as IDPs in areas controlled by the government. Access is urgently needed to the conflict and post conflict areas to understand the need s and issues of vulnerable population groups including returnees, IDPs, elderly and children with their families. The Law on free economic zone Crimea and the Resolution of National Bank of Ukraine #699 on implementing currency legislation has created additional challenges for the residents of Crimea. Particularly, some Ukrainian banks have refused the opening of accounts by Crimean residents who do not possess permanent residency on mainland Ukraine. Also there are problems with re-registering private entrepreneurships from Crimea in the rest of Ukraine. Water, Sanitation and Hygiene (sector lead: Rudi Luchmann, rluchmann@unicef.org) Due to intensified shelling in Donetsk city, there was a lot of damage of the city infrastructure. The water supply was cut several times in Kijevskiy and Kuybyshevskiy districts of Donetsk city, but all major damages were restored by the local authorities. Since 10 November there was no water supply and electricity in Avdeevka, Donetsk oblast due to intensified fighting in the area. The local authorities continue the recovery work at the Donetsk filter station that rests without electricity. Quality and regular access to drinking water continue to be a priority for people remaining in Donetsk and Luhansk oblasts. According to requests received and confirmed by UNICEF monitors, hygiene supplies and disinfection materials are urgently required. The full repair of the water supply infrastructure is still not possible due to shelling. There increasing number of requests for personal hygiene items coming from IDPs in Kherson, Zaporizhzhia, Dnepropetrovsk and Odesa regions. The WASH component of the Strategic Response Plan (SRP) is finalized with participation of all WASH sector partners. 50 hygiene kits were distributed by UNICEF through partner NGOs in Slaviansk and Luhansk. UNICEF cooperates with NGO Mama 86 for hygiene promotion activities in Kharkiv and Luhansk, including territories controlled by the separatists. Five tons of water has been facilitated for distribution by UNICEF with its corporate and NGO partners to be delivered to the most vulnerable population in Luhansk. UNICEF monitors continue to assess the situation on the ground and are reporting on emerging needs, but the access to the territories controlled by the armed groups continues to be hampered due to constant shelling.

General Coordination Situation Report No. 19 Ukraine 8 The NGO Forum meets every second Tuesday at 10:00 am at People in Need (PIN). This meeting alternates with the OCHA-NGO Forum at 10:00 am at OCHA. The Cash Transfer Technical Working Group held an all-partners meeting on 7 November. The group can be contacted through OCHA or Save the Children should your organization wish to receive information and guidance on cash transfer activities in Ukraine. Regular sector meetings are being held in Kyiv and the field, including Donetsk, Dnipropetrovsk, Kharkiv and Zaporizhzhia. Please click here for the meeting schedule. The Ukraine Situation Report will now be published every two weeks. The next report is due on 28 November, 2014. Background on the crisis In April 2014, armed groups in the Donbas region of eastern Ukraine (Donetsk and Luhansk) began to seize buildings and arms. As a result of ongoing fighting between armed groups and government forces, as well as the events which occurred in the Autonomous Republic of Crimea (ARC) in March 2014, people have been forced to flee their homes and have become increasingly vulnerable as the conflict intensified and spread. Those staying in Donbas region, particularly in areas affected by fighting, face imminent security threats due to military activities by all parties to the conflict that are increasingly concentrated in densely populated urban areas. Provision of basic services has been disrupted, supplies are increasingly limited, and an upsurge in lawlessness has occurred. Ongoing daily ceasefire violations continue to be reported, despite the 5 September Ceasefire and 19 September nine-point Memorandum agreed in Minsk. Indiscriminate shelling and continued insecurity are placing conflict-affected people and humanitarian actors at risk. The displaced population has significantly increased since early June 2014. To date, 460,365 people have reportedly been displaced and 508,515 people have reportedly fled to neighbouring countries. Of these, 419,610 have sought refuge in Russia. Most have left with few belongings and are in need of shelter, food and non-food assistance, placing pressure on neighbouring regions. For further information, please contact: Alexis Zoe Porter, Humanitarian Affairs Officer, Kyiv I porter2@un.org I +380 986 731 013 Jake Morland, Desk Officer, New York I morland@un.org I +1 212 963 2066 OCHA Ukraine Situation Reports are available at: http://reliefweb.int/country/ukr. To be added or deleted from this situation report mailing list, please e-mail: haythornthwaite@un.org.